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Requestor Information

Organization Status *

Address

Advisor, if applicable *

Event Details

Type of Function/Meeting *
Room(s) Requesting for Usage*

By submitting the form above, the users of the University facilities/premises and grounds agree to indemnify and hold harmless release for and against any and all liability whatsoever for any and all damages, losses, or injuries (including but limited to death) to person, property or both, including but not limited to any and all claims, demands, actions, cause of actions, damages, losses, injuries, costs, expenses, and attorney’s fees, that may be sustained while users is in or upon University premises or any part thereof, or occasioned by any occupancy or use of University premises or any activity carried on by the user group in connection therewith, including injuries sustained as a result of negligence. In addition, user groups may be required to secure liability insurance for itself and all of its participants.